A Rare Case of Benign Oncocytic Cystadenoma of Parotid Gland

Benign oncocytic cystadenoma of the parotid gland is a rare salivary gland tumour, constituting less than 1% of all salivary gland neoplasms. It is characterised by cystic spaces lined with bilayered oncocytic epithelium, composed of eosinophilic granular cytoplasm due to abundant mitochondria. Whil...

Full description

Saved in:
Bibliographic Details
Main Authors: R Prathipa, Vimal Chander, S Prakashiny
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2025-05-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://jcdr.net/articles/PDF/21011/78727_CE[Ra1]_F(SS)_QC(PS_SS)_PF1(RI_SS)_PFA(IS)_PN(IS).pdf
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1850260507635744768
author R Prathipa
Vimal Chander
S Prakashiny
author_facet R Prathipa
Vimal Chander
S Prakashiny
author_sort R Prathipa
collection DOAJ
description Benign oncocytic cystadenoma of the parotid gland is a rare salivary gland tumour, constituting less than 1% of all salivary gland neoplasms. It is characterised by cystic spaces lined with bilayered oncocytic epithelium, composed of eosinophilic granular cytoplasm due to abundant mitochondria. While these tumours are typically asymptomatic, they can present as painless, slow-growing swellings in the preauricular region, often leading to misdiagnosis as other benign salivary gland tumours. Authors hereby, present the case of a 71-year-old female with recurrent right-sided parotid swelling. Eight years prior, she was diagnosed with low-grade mucoepidermoid carcinoma of the right submandibular gland. One year ago, she underwent total parotidectomy for a recurrent swelling, which was diagnosed histopathologically as a mucus retention cyst. Three months ago, she developed another swelling in the same region, prompting excision and biopsy. Histopathology revealed a cystic lesion lined by bilayered oncocytic epithelium with papillary projections, focal lymphoid aggregates and no evidence of malignancy, confirming oncocytic cystadenoma. Oncocytic cystadenomas present diagnostic challenges due to their rarity and overlap with other salivary gland lesions. Surgical excision is curative, with a low recurrence rate. Awareness of this rare entity is essential for accurate diagnosis and management.
format Article
id doaj-art-03a7ffbd6f6e4bcfa02b8b48b9327a88
institution OA Journals
issn 2249-782X
0973-709X
language English
publishDate 2025-05-01
publisher JCDR Research and Publications Private Limited
record_format Article
series Journal of Clinical and Diagnostic Research
spelling doaj-art-03a7ffbd6f6e4bcfa02b8b48b9327a882025-08-20T01:55:38ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2025-05-01195ED12ED1410.7860/JCDR/2025/78727.21011A Rare Case of Benign Oncocytic Cystadenoma of Parotid GlandR Prathipa0Vimal Chander1S Prakashiny2Postgraduate, Department of Pathology, A.C.S. Medical College and Hospital and Research Institute, Chennai, Tamil Nadu, India.Professor, Department of Pathology, A.C.S. Medical College and Hospital and Research Institute, Chennai, Tamil Nadu, India.Professor, Department of Pathology, A.C.S. Medical College and Hospital and Research Institute, Chennai, Tamil Nadu, India.Benign oncocytic cystadenoma of the parotid gland is a rare salivary gland tumour, constituting less than 1% of all salivary gland neoplasms. It is characterised by cystic spaces lined with bilayered oncocytic epithelium, composed of eosinophilic granular cytoplasm due to abundant mitochondria. While these tumours are typically asymptomatic, they can present as painless, slow-growing swellings in the preauricular region, often leading to misdiagnosis as other benign salivary gland tumours. Authors hereby, present the case of a 71-year-old female with recurrent right-sided parotid swelling. Eight years prior, she was diagnosed with low-grade mucoepidermoid carcinoma of the right submandibular gland. One year ago, she underwent total parotidectomy for a recurrent swelling, which was diagnosed histopathologically as a mucus retention cyst. Three months ago, she developed another swelling in the same region, prompting excision and biopsy. Histopathology revealed a cystic lesion lined by bilayered oncocytic epithelium with papillary projections, focal lymphoid aggregates and no evidence of malignancy, confirming oncocytic cystadenoma. Oncocytic cystadenomas present diagnostic challenges due to their rarity and overlap with other salivary gland lesions. Surgical excision is curative, with a low recurrence rate. Awareness of this rare entity is essential for accurate diagnosis and management.https://jcdr.net/articles/PDF/21011/78727_CE[Ra1]_F(SS)_QC(PS_SS)_PF1(RI_SS)_PFA(IS)_PN(IS).pdfcystic neoplasmparotid tumoursalivary gland
spellingShingle R Prathipa
Vimal Chander
S Prakashiny
A Rare Case of Benign Oncocytic Cystadenoma of Parotid Gland
Journal of Clinical and Diagnostic Research
cystic neoplasm
parotid tumour
salivary gland
title A Rare Case of Benign Oncocytic Cystadenoma of Parotid Gland
title_full A Rare Case of Benign Oncocytic Cystadenoma of Parotid Gland
title_fullStr A Rare Case of Benign Oncocytic Cystadenoma of Parotid Gland
title_full_unstemmed A Rare Case of Benign Oncocytic Cystadenoma of Parotid Gland
title_short A Rare Case of Benign Oncocytic Cystadenoma of Parotid Gland
title_sort rare case of benign oncocytic cystadenoma of parotid gland
topic cystic neoplasm
parotid tumour
salivary gland
url https://jcdr.net/articles/PDF/21011/78727_CE[Ra1]_F(SS)_QC(PS_SS)_PF1(RI_SS)_PFA(IS)_PN(IS).pdf
work_keys_str_mv AT rprathipa ararecaseofbenignoncocyticcystadenomaofparotidgland
AT vimalchander ararecaseofbenignoncocyticcystadenomaofparotidgland
AT sprakashiny ararecaseofbenignoncocyticcystadenomaofparotidgland
AT rprathipa rarecaseofbenignoncocyticcystadenomaofparotidgland
AT vimalchander rarecaseofbenignoncocyticcystadenomaofparotidgland
AT sprakashiny rarecaseofbenignoncocyticcystadenomaofparotidgland